Cushing Christopher C, Threlkeld Melody R S, Martinez-Leo Bruno, Hall Jennifer, Hossain Monir, Dickie Belinda H, Rymeski Beth, Helmrath Michael, Zeller Meg H, Frischer Jason S
Clinical Child Psychology Program, University of Kansas, Dole Human Development Center, Lawrence, KS.
Colorectal Center at Cincinnati Children's, Division of Pediatric General & Thoracic Surgery, Cincinnati, OH.
J Pediatr Surg. 2018 Jun;53(6):1148-1153. doi: 10.1016/j.jpedsurg.2018.02.076. Epub 2018 Mar 7.
BACKGROUND/PURPOSE: Fecal incontinence is a prevalent pediatric condition with psychosocial impacts on both children and their caregivers. We sought to develop and validate the Cincinnati Fecal Incontinence Scale (CINCY-FIS) as a psychometrically valid measure to assess the quality of life and caregiver impacts of pediatric fecal incontinence.
Items were generated through review of previous measures, expert consensus, and pilot testing with feedback from 8 families. Initial study measures were completed by 222 caregivers. Following item reduction, 18 items were subjected to confirmatory factor analysis. Convergent and criterion validity were assessed using correlation. Reliability was established using internal consistency statistics and test-retest reliability at baseline and 2-week follow-up.
A five factor first-order structure with two higher-order factors demonstrated acceptable fit to the data, was consistent with a priori hypotheses, and was more parsimonious than the alternative model. Convergent validity and criterion-related validity were established for all of the CINCY-FIS scales. Reliability was high and consistent across both measurement occasions.
The CINCY-FIS is a reliable and valid assessment of pediatric fecal incontinence-specific quality of life and parenting stress. The score is highly sensitive to patient changes making it suitable for both clinical and research purposes.
Prospective observational.
Study of Diagnostic Test Level II.
背景/目的：大便失禁是一种常见的儿科疾病，对儿童及其照顾者都会产生心理社会影响。我们试图开发并验证辛辛那提大便失禁量表（CINCY-FIS），作为一种心理测量学上有效的工具，以评估小儿大便失禁对生活质量及照顾者的影响。
通过回顾以往的测量方法、专家共识以及8个家庭反馈的预试验来生成条目。最初的研究测量由222名照顾者完成。在进行条目删减后，对18个条目进行验证性因子分析。使用相关性评估收敛效度和效标效度。通过内部一致性统计以及基线和2周随访时的重测信度来确定信度。
一个具有两个高阶因子的五因子一阶结构显示出对数据的可接受拟合度，与先验假设一致，并且比替代模型更简约。所有CINCY-FIS量表的收敛效度和效标关联效度均已确立。在两个测量时点，信度都很高且一致。
CINCY-FIS是对小儿大便失禁特定生活质量和育儿压力的可靠且有效的评估工具。该评分对患者的变化高度敏感，适用于临床和研究目的。
前瞻性观察性研究。
诊断试验II级研究。
